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刺激孤束核所引发的血流动力学效应。

Hemodynamic effects elicited by stimulation of the nucleus tractus solitarii.

作者信息

Yin M, Lee C C, Ohta H, Talman W T

机构信息

Department of Neurology, University of Iowa College of Medicine, Iowa City 52242.

出版信息

Hypertension. 1994 Jan;23(1 Suppl):I73-7. doi: 10.1161/01.hyp.23.1_suppl.i73.

Abstract

Microinjection of the excitatory amino acid L-glutamate into the nucleus tractus solitarii (NTS) elicits decreases in arterial pressure and heart rate. In the present study, we sought to determine the regional hemodynamic effects that were correlated with changes in arterial pressure and heart rate produced by stimulation of the NTS. In anesthetized rats, blood flow in the renal (RBF), superior mesenteric (MBF), and hindquarter (HBF) vascular beds was measured by pulsed Doppler flowmeters. Relative vascular resistances (RVR, MVR, and HVR) were calculated by dividing mean arterial pressure (mm Hg) by the Doppler shift (kHz). Microinjection of L-glutamate into the NTS caused rapid, transient, dose-related decreases in mean arterial pressure and heart rate. MVR and RVR were minimally changed immediately after injections, but both demonstrated delayed dilatation. In contrast, HVR fell immediately but demonstrated delayed constriction. Identical changes occurred in intact rats and in those with interruption of the baroreflex by sinoaortic denervation. Ganglionic blockade with hexamethonium abolished virtually all L-glutamate-induced responses. This study suggests that NTS neurons exert differential effects on renal, mesenteric, and hindquarter vascular beds and that glutamate-induced regional hemodynamic changes are mediated predominantly through autonomic pathways.

摘要

将兴奋性氨基酸L-谷氨酸微量注射到孤束核(NTS)可引起动脉血压和心率下降。在本研究中,我们试图确定与刺激NTS所产生的动脉血压和心率变化相关的局部血流动力学效应。在麻醉大鼠中,用脉冲多普勒流量计测量肾(RBF)、肠系膜上(MBF)和后肢(HBF)血管床的血流。通过将平均动脉压(mmHg)除以多普勒频移(kHz)来计算相对血管阻力(RVR、MVR和HVR)。向NTS微量注射L-谷氨酸可导致平均动脉压和心率迅速、短暂、与剂量相关的下降。注射后MVR和RVR立即变化最小,但两者均表现出延迟扩张。相比之下,HVR立即下降,但表现出延迟收缩。完整大鼠和经窦主动脉去神经支配使压力反射中断的大鼠出现相同变化。用六甲铵进行神经节阻断几乎消除了所有L-谷氨酸诱导的反应。本研究表明,NTS神经元对肾、肠系膜和后肢血管床产生不同的效应,且谷氨酸诱导的局部血流动力学变化主要通过自主神经途径介导。

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